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ANTONIO RAFAEL LOPEZ-CANINO MD
NPI 1821275470
Psychiatry & Neurology - Psychiatry in Bonham, TX

Active since January 25, 2008PECOS EnrolledAccepts Medicare Assignment
65.74/100
CMS Quality Rating
1201 EAST NINTH STREET, NORTH TEXAS VETERANS HEALTHCARE, BONHAM, TX 75418(903) 583-6241 Get Directions Write a Review

NPPES record last updated: January 27, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Antonio Rafael Lopez-canino Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIO RAFAEL LOPEZ-CANINO MD (NPI 1821275470) is an individual psychiatry provider in Bonham, Texas, licensed in New York (242017) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Choctaw Nation Health Services Authority, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1821275470
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameANTONIO RAFAEL LOPEZ-CANINOCredential: MD
Location Address1201 EAST NINTH STREET, NORTH TEXAS VETERANS HEALTHCAREBonham, TX 75418
Mailing Address1201 East Ninth Street, North Texas Veterans HealthcareBonham, TX 75418 · (903) 583-6241
Phone(903) 583-6241
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJanuary 25, 2008
Last NPPES UpdateJanuary 27, 2010
✔ NPI 1821275470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 242017
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1201 EAST NINTH STREET, Bonham, TX 75418
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Antonio Rafael Lopez-canino Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416232723
PECOS Enrollment IDI20170329001977
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Antonio Lopez-canino reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Choctaw Nation Of Oklahoma
33 mi
Primary Care
1801 CHUKKA HINA
Durant, OK 74701
  • Reassigned Medicare billing, Texas enrollment
  • 581 clinicians in this Medicare group
NPI 1396173449 (580) 920-2100
Bsw Geode Clinicians Of Texas PLLC
45 mi
Psychiatry
610 S WATTERS RD STE 130
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 187 clinicians in this Medicare group
NPI 1790482834 (469) 854-3263
Geode Health Of Texas, PLLC
45 mi
Psychiatry
610 S WATTERS RD STE 130
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 207 clinicians in this Medicare group
NPI 1851037162 (469) 854-3263

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
153 services70 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Choctaw Nation Health Services Authority

Acute Care Hospitals · Talihina, OK
OwnershipTribal
CMS Certification Number370172
Location1 Choctaw WayTalihina, OK 74571 · Latimer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75418 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

65.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.52
Improvement Activities40
Cost42.43

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonio Lopez-canino's NPI number?

The NPI number for Antonio Lopez-canino is 1821275470. It was assigned to this individual provider in the NPPES registry on January 25, 2008.

Where is Antonio Lopez-canino located?

Antonio Lopez-canino practices at 1201 East Ninth Street North Texas Veterans Healthcare, Bonham, TX 75418. The listed phone number is (903) 583-6241.

What is Antonio Lopez-canino's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Antonio Lopez-canino enrolled in Medicare?

Yes. Antonio Lopez-canino is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Antonio Lopez-canino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Lopez-canino reassigns Medicare benefits to 3 organizations: Choctaw Nation Of Oklahoma (Durant, OK), Bsw Geode Clinicians Of Texas PLLC (Allen, TX) and Geode Health Of Texas, PLLC (Allen, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonio Lopez-canino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antonio Lopez-canino accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare and 1 other insurer list Antonio Lopez-canino as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Antonio Lopez-canino affiliated with any hospitals?

According to CMS data, Antonio Lopez-canino is affiliated with Choctaw Nation Health Services Authority.

When was this NPI record last updated?

The NPPES record for Antonio Lopez-canino was last updated on January 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.